Jaime Bedenbaugh, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

P 39336 Issued in SC

Practice address

416 Elm St
Prosperity, SC 29127-7250

Phone

(806) 445-2141

NPI assigned

Mar 16, 2015

Last updated

Mar 16, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1447643390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 ELM ST",
            "city": "PROSPERITY",
            "state": "SC",
            "postal_code": "291277250",
            "telephone_number": "864-445-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 ELM ST",
            "city": "PROSPERITY",
            "state": "SC",
            "postal_code": "291277250",
            "telephone_number": "806-445-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDENBAUGH",
        "first_name": "JAIME",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "P 39336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Anderson, RN
• Valerie Anderson, RN
• John Andrew Bearden
• Brooke Kali Bolin, SLP
• Kayce Kozma Bragg, MA, LPC, LAC
• Brannon Family Chiropractic LLC (Family Practice of Chiropractic Prosperity)
• Carolina Kids Early Intervention LLC
• Angela Boland Carraway, MCD, CCC-SLP

• Licensed Practical Nurse in Prosperity, SC
• Providers in Prosperity, SC by specialty
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.